Information Collection Request

OPRE Study: Evaluation of Project Connect [Implementation Study]

ICR 202305-0970-006 · OMB 0970-0575 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
PC NonSub Change Request Memo_edited ab_mj_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-02 Available
PC NonSub Change Request Memo_edited ab_mj_clean.docx Justification for No Material/Nonsubstantive Change Uploaded 2023-05-02 Repair queued
Appendix I. IRB Approval Letter.docx Supplementary Document Uploaded 2021-06-03 Available
Appendix I. IRB Approval Letter.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix H. Certificate of Confidentiality.docx Supplementary Document Uploaded 2021-06-03 Available
Appendix H. Certificate of Confidentiality.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix G. Informed Consent for Staff – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Available
Appendix G. Informed Consent for Staff – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Repair queued
Appendix F. Informed Consent for Parents_Program Participants – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Available
Appendix F. Informed Consent for Parents_Program Participants – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Repair queued
Appendix E. Outreach Phone Call for Parents_Program Participants – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Available
Appendix E. Outreach Phone Call for Parents_Program Participants – Project Connect.docx Supplementary Document Uploaded 2023-05-04 Repair queued
Appendix D. Services as Usual Recruitment Flyer Text_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Available
Appendix D. Services as Usual Recruitment Flyer Text_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix C. Consent Form to Release Participant Contact Information_Aug 2021_clean.docx Supplementary Document Uploaded 2021-08-16 Available
Appendix C. Consent Form to Release Participant Contact Information_Aug 2021_clean.docx Supplementary Document Uploaded 2021-08-16 Repair queued
Appendix B. Outreach Email for staff not connected to via program_agency_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Available
Appendix B. Outreach Email for staff not connected to via program_agency_round x_clean.docx Supplementary Document Uploaded 2021-06-03 Repair queued
Appendix A. Outreach Email – for staff connected to via program_agency.docx Supplementary Document Uploaded 2023-05-04 Available
Appendix A. Outreach Email – for staff connected to via program_agency.docx Supplementary Document Uploaded 2023-05-04 Repair queued
Project Connect - SSB_round x_clean.docx Supporting Statement B Uploaded 2021-06-03 Available
Project Connect - SSB_round x_clean.docx Supporting Statement B Uploaded 2021-06-03 Repair queued
Project Connect - SSA_round xi_clean.docx Supporting Statement A Uploaded 2021-06-03 Available
Project Connect - SSA_round xi_clean.docx Supporting Statement A Uploaded 2021-06-03 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
247727 Focus Group Guide for Families Other-Focus Group Guide Unchanged
247726 Interview Guide for Families Other-Interview Guide Unchanged
247725 Interview Guide for Other Stakeholders (Behavioral Health and Judicial Stakeholders) Other-Interview Guide Unchanged
247724 Focus Group Guide for Staff (Project Connect and Child Welfare Agency Staff) Other-Focus Group Guide Unchanged
247723 Interview Guide for Administrators (Project Connect, Child Welfare Agency, and Child Welfare Central Referral Unit) Other-Interview Guide Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2024 08/31/2024 08/31/2024
30 0 30
40 0 40
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 30 30 0 0 0 0
Annual Time Burden (Hours) 40 40 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No